Individual
MR. PETER EDWARD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
135 WEST RD, ELLINGTON, CT 06029-5725
(860) 896-0264
Mailing address
50 MURIEL LN, FEEDING HILLS, MA 01030-2638
(413) 789-4235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0008459
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0008459
PHARMACIST
CT
Enumeration date
10/16/2017
Last updated
10/16/2017
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